LaboratoryTestPrescription


When patients visit a physician, being a general practitioner, or working at a triage post or hospital, and the patient meets criteria for a test, the physician needs to complete a specific COVID-19 LaboratoryTestPrescription form, as described in section “5. Description of the COVID-19 messages”.

The COVID-19 LaboratoryTestPrescription form is a specific form because it includes detailed contact information of the patient, the contact person(s) in case of emergency (ICU), language and the type of collectivities the patient is part of. This information is important in context of contact tracing by the COVID-19 Call Center.


A. Content of the message

Translations into Dutch and French of the variables can be found here.

VariablesDESCRIPTIONINSTRUCTIONS
MessageTypeType of message.Default value "1"
Mandatory;
(update 02.03.2021: NEW FIELD).
PatientIdentificationNumberPatient NISS identification number.Format NISS: 11 numbers;
Web service ConsultRn (NL / FR);
Validation: modulo97;
Mandatory.
FirstNamesPatThe person’s official first names.Text;
Mandatory IF no NISS.
LastNamePatThe person’s official last name.Text;
Mandatory IF no NISS.
StreetStreet name of the address.Text;
Mandatory IF no NISS.
HouseNumberHouse number of the address.Text;
Mandatory IF no NISS.
HouseNumberLetter A letter following the house number.Text;
Mandatory IF no NISS.
PostcodePostcode of the address.Text;
Mandatory IF no NISS.
Municipality Municipality of residence.Text;
Mandatory IF no NISS.
Country Country in which the address is located. Text;
Mandatory IF no NISS.
DateOfBirthPatient’s date of birth. An incomplete date (such as only the year) is permitted. Format for Date should be "YYYY-MM-DD";
Mandatory IF no NISS.
SexPatient’s administrative sex.Use valueset SexCodelist;
Single select choice ;
Mandatory IF no NISS.
TelephoneNumberMobilePat The patient's mobile telephone number.Text;
Mandatory.
TelephoneNumberLLPatThe patient's landline telephone numberText;
Mandatory IF no TelephoneNumberMobilePat.
HealthcareOrElderlyCareWorkerIs the patient a healthcare worker or elderly care worker? Boolean;
1 (yes), 0 (no) ;
Mandatory.
FirstNamesContp1The contact person’s official first names.Text;
Optional.
LastNameContp1The contact person’s official last name.Text;
Optional.
TelephoneNumberMobileContp1The contactperson's mobile telephone number.Text;
Optional.
TelephoneNumberLLContp1The contactperson's landline telephone number.Text;
Optional.
RelationshipContp1The relationship with the contactperson.Use valueset RelationshipCodelist;
Single select choice ;
Optional.
FirstNamesContp2The contact person’s official first namesText;
Optional.
LastNameContp2The contact person's official last name.Text;
Optional.
TelephoneNumberMobileContp2The contactperson's mobile telephone number.Text;
Optional.
TelephoneNumberLLContp2The contactperson's landline telephone number.Text;
Optional.
RelationshipContp2The relationship with the contactperson.Use valueset RelationshipCodelist;
Single select choice ;
Optional.
EncounterContactTypeThe type of contact with the health professional. Use valueset ContactTypeCodelist;
Single select choice ;
Optional.
EncounterStartDateTimeThe date and optionally, the time at which the contact took place.Format for DateTime should be "YYYY-MM-DD hh:mm:ss";
Optional.
ProblemStartDateOnset of the symptoms. Format for Date should be "YYYY-MM-DD";
If no symptoms, complete with 1900-01-01;
Mandatory.
HealthProfessionalIdentificationNumberPrescrThe health professional NIHDI identification number of the prescriber.Format: 8 consecutive numbers, as in COBRHA (NL/FR), and therefore without punctuation marks such as spaces, periods, underscores or hyphen and without the authorization code;
Mandatory ;
HealthcareProviderIdentificationNumberHosp The organization’s NIHDI identification number.Format: 8 consecutive numbers, as in COBRHA (NL/FR), and therefore without punctuation marks such as spaces, periods, underscores or hyphen and without the authorization code; Mandatory IF Hospital.
HealthcareProviderLocation Campus number of the location where the patient is admitted ("VESTIGINGSNR" / "NUMERO DE SITE" granted by FOD/SPF public health).Text;
Mandatory IF patient is/was admitted on campus of hospital.
DepartmentSpecialty The specialty of the healthcare provider’s department where patient is admitted.Use valueset DepartmentSpecialtyCodelist;
Single select choice ;
Optional (only for Hospital).
CTThoraxResultIf CT thorax is compatible with a diagnosis of COVID-19, complete with positive. If not done or indeterminate, report as unknown.Use valueset CTTestResultCodelist;
Single select choice;
Optional (only for Hospital).
HealthProfessionalIdentificationNumberDmgThe health professional NIHDI identification number of the DMG / GMD (dossier médical global / Globaal medisch dossier) owner. Format: 8 consecutive numbers, as in COBRHA (NL/FR), and therefore without punctuation marks such as spaces, periods, underscores or hyphen and without the authorization code; Optional.
TestPrescribedReasonWhy was the test prescribed?Use value set "TestPrescribedReasonCodelist"; Single-select choice;
Mandatory.
UPDATE 15-06-2021: update van codelist
CollectionLocationWho performed or will perform collection of specimen(s)?Use value set "CollectionLocationCodelist";
Single-select choice,
Mandatory.
HealthcareProviderIdentificationNumberTPThe NIHDI identification number of the Triage post that is requested to collected the specimen(s).Format: 8 consecutive numbers, as in COBRHA, and therefore without punctuation marks such as spaces, periods, underscores or hyphen and without the authorization code;
Mandatory IF value " CL0001" (Triage post) from "CollectionLocationCodelist" was selected in field CollectionLocation.
CollectivityIdentificationNumberThe organization’s KBO/CBE (enterprise) identification number. Only if organisation has no NIDHI number.Format KBO/CBE : 10 numbers;
For Schools: the School ID should be provided (update 02.03.2021: NEW FIELD);
For Healthcare organisations with NIDHI number, the "HealthcareProviderIdentificationNumber" should be provided;
Mandatory;
CollectionDateTime1The date and the time at which the material was collected.Format for DateTime should be "YYYY-MM-DD hh:mm:ss" ;
Mandatory.
SpecimenId1 Identification number of the material obtained, as a reference for inquiries to the source organization. In a transmural setting, this number will consist of a specimen number including the identification of the issuing organization, to be unique outside of the borders of an organization. Text;
Optional.
SpecimenMaterial1SpecimenMaterial describes the material obtained.Use valueset "SpecimenMaterialCodelist";
Single select field;
Mandatory;
(update 02.03.2021: NEW FIELD).
CollectionDateTime2The date and the time at which the material was collected.Format for DateTime should be "YYYY-MM-DD hh:mm:ss" ;
It is optional to report a second specimen in one message, but if a second specimen is reported, the field CollectionDateTime2 is mandatory.
SpecimenId2Identification number of the material obtained, as a reference for inquiries to the source organization. In a transmural setting, this number will consist of a specimen number including the identification of the issuing organization, to be unique outside of the borders of an organization.Text;
It is optional to report a second specimen in one message, but if a second specimen is reported, the field SpecimenId2 is optional.
SpecimenMaterial2SpecimenMaterial describes the material obtained. Use valueset "SpecimenMaterialCodelist";
Single select field;
It is optional to report a second specimen in one message, but if a second specimen is reported, the field SpecimenMaterial2 is mandatory;
(update 02.03.2021: NEW FIELD).
CollectionDateTime3The date and the time at which the material was collected.Format for DateTime should be "YYYY-MM-DD hh:mm:ss";
It is optional to report a third specimen in one message, but if a third specimen is reported, the field CollectionDateTime3 is mandatory.
SpecimenId3Identification number of the material obtained, as a reference for inquiries to the source organization. In a transmural setting, this number will consist of a specimen number including the identification of the issuing organization, to be unique outside of the borders of an organization. Text;
It is optional to report a third specimen in one message, but if a third specimen is reported, the field SpecimenId3 is optional.
SpecimenMaterial3 The date and the time at which the material was collected.Use valueset "SpecimenMaterialCodelist";
Single select field;
It is optional to report a third specimen in one message, but if a third specimen is reported, the field SpecimenMaterial3 is mandatory;
(update 02.03.2021: NEW FIELD).
HealthcareProviderIdentificationNumberLabThe NIHDI identification number of the laboratory that is requested to execute the test.Format: 8 consecutive numbers, as in COBRHA, and therefore without punctuation marks such as spaces, periods, underscores or hyphen and without the authorization code;
Mandatory.
MobileAppTestId Identifier (17 digits) generated in the Coronalert app on the phone of the patient and communicated by the patient to the doctor. Links a test to a phone. Text (maximum 17 characters)
Mandatory IF patient has Coronalert app installed . IMPORTANT: Validation rule provided by DevSide.
MobileAppDatePatientInfectious Contains the date the patient became infectious, and is displayed in the Coronalert app of the patient. Format: YYMMDD
Mandatory IF patient has Coronalert app installed.
MobileAppAlert Patient has received a high risk alert in the Coronalert app. Boolean: "Y" / "N"
Mandatory IF patient has Coronalert app installed.

B. Valuesets

C. Points of attention

  • In case the patient has a NISS or a NISS Bis number, the regular address information, date of birth and gender should not be provided. This information is available at the COVID-19 central database, through ConsultRN.
  • In case the patient has no NISS or a NISS Bis number, a NISS should be created using the ConsultRN integration in EMD or HIS:
    • This is also the case for foreign tourists.
      • In that case, the address information of his / her stay in BELGIUM should be recorded in the LaboratoryTestPrescription form.
      • As for the field “Country”, the country of permanent residence should be recorded in the LaboratoryTestPrescription form.
  • In case the patient is a minor (child), one of the parents, guardian or legal representative, should be provided as first contact person to (“FirstNamesContp1”; “LastNameContp1”; “TelephoneNumberMobileContp1”).

D. Destinations

The completed COVID-19 LaboratoryTestPrescription form should be transferred directly to the:
• COVID19 Laboratory Test Result Database
• Prescribing general practitioner, or
• Physician responsible for the Globaal Medisch Dossier (GMD) / Dossier Médical Global (DMG), If patient has one.

The transfer methods available for the message LaboratoryTestPrescription form are described in the "Technical guidelinses".